A similarity of roles for the scrub person and the circulating nurse is that they both:

Are communications links with personnel outside the room

Set up initial sterile instruments and supplies

Advise the team of breaks in sterile technique

Position lights on step stools

Answer and Explanation

The Correct Answer is A

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

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Correct Answer is C

Explanation

A. Emergency. Emergency surgeries are performed immediately to treat life-threatening conditions. Breast implants following a mastectomy are not an emergency, but rather a planned procedure.

B. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life, often in terminal illness. While reconstructive surgery after a mastectomy can improve a patient's quality of life, it is not primarily palliative.

C. Reconstructive. Reconstructive surgery is performed to restore or improve the function or appearance of a body part, particularly after trauma or disease. Breast implants after a mastectomy are classified as reconstructive surgery because they aim to restore the appearance of the breast after its removal.

D. Curative. Curative surgeries are intended to remove or treat a disease to cure the patient. While breast implants can improve a patient's appearance after a mastectomy, they do not cure any underlying disease or condition.

A. Ill and the patient has depressed reflexes. B. IV and the patient will not depend on the anesthesia machine of oxygenations. C. Il and the surgical environment should be kept quiet. D. and the patient's hearing is amplified.

Correct Answer is C

Explanation

A. Stage III and the patient has depressed reflexes. Stage III of anesthesia is the surgical stage, where the patient is under deep anesthesia, and reflexes are typically depressed. However, tensed muscles and irregular respirations may indicate that the patient is still in an earlier stage of anesthesia (stage II).

B. Stage IV and the patient will not depend on the anesthesia machine for oxygenation. Stage IV is the deepest level of anesthesia, where respiratory and cardiovascular functions are severely depressed. It does not match the description of tensed muscles and irregular respirations, which are more characteristic of an earlier stage (stage II).

C. Stage II and the surgical environment should be kept quiet. Stage II of anesthesia is the excitement stage, where patients may exhibit tensed muscles, irregular respirations, and uncoordinated movements. The surgical environment should be kept quiet to minimize stimuli that could cause agitation or further excitement in this stage.

D. Stage I and the patient's hearing is amplified. Stage I is the stage of anesthesia where the patient is still conscious and responsive to stimuli. The description of tensed muscles and irregular respirations does not match this stage. Additionally, the patient’s hearing would not be amplified in stage I, but rather in stage II or as they begin to emerge from anesthesia.

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A similarity of roles for the scrub person and the circulating nurse is that they both:

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Naxlex Comprehensive Predictor Exams

The patient is to undergo breast implants following a total mastectomy. This surgery is classified as:

Correct Answer is C

Explanation

The circulating nurse notes that the anesthetized patient has tensed muscles and irregular respirations. The nurse is aware that the patient has reached stage:

Correct Answer is C

Explanation

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